Plastic Surgery Billing & Coding Services
96% Clean Claim Rate
50% Faster Reimbursements
50% More Collections
99.9% HIPAA Compliance
2+
Satisfied Providers
26+
Medical Specialties
6+
Billing Experts
Why Plastic Surgeons Choose Medical Biller
Plastic surgery billing is a high-stakes process with complex coding for cosmetic and reconstructive procedures, strict prior authorization requirements, and evolving payer policies. Errors in cosmetic vs. medical necessity documentation, modifier usage, or Medicare compliance lead to denials and lost revenue. Medical Biller ensures your practice thrives with:
Cosmetic Procedure Billing
Reconstructive Surgery Expertise
Prior Auth Mastery
Modifier Compliance
Medicare/Medicaid Alignment
Telehealth for Consultations
Denial Recovery
Patient Financing Support
Essential Billing Toolkit:
Simplify Your Billing & Maximize Profit
Learn practical strategies to streamline your billing process, reduce claim denials, and get paid faster. This guide is packed with expert tips, actionable checklists, and ready-to-use templates to boost efficiency.
Plastic Surgery Billing Services
Accurate CPT Coding
Bill reconstructive (19318 for breast reduction) and cosmetic procedures (15775 for skin grafts) correctly.
Cosmetic vs. Reconstructive Differentiation
Ensure proper classification for insurance coverage eligibility.
Prior Authorization Success
Expedite approvals for medically necessary procedures like rhinoplasty (30465) and breast reconstruction.
Modifier Expertise
Apply 59, 51, and 25 modifiers to prevent bundling issues and claim rejections.
Insurance & Self-Pay Billing
Navigate private insurance reimbursements and structured self-pay plans.
Medicare & Medicaid Compliance
Bill medically necessary procedures while avoiding non-covered service pitfalls.
Appeal & Denial Management
Recover lost revenue by appealing denied claims with medical necessity documentation.
Global Surgery Package Optimization
Properly bill post-op care within the 90-day global period.
Out-of-Network Reimbursement Maximization
Secure higher payments for non-contracted plastic surgery services.
24/7 Plastic Surgery Billing Support
Resolve urgent claim issues and coding updates efficiently.
How It Works
1
Share Your Pain Points
“Denied cosmetic claims? Slow prior auths? Let’s resolve it in 10 minutes.”
2
Get a Custom Audit
Medical Biller identifies gaps in coding, compliance, and denial trends.
3
Launch & Thrive
We handle claims, audits, and appeals—you focus on delivering transformative results.
How Medical Biller Helped Elite Aesthetics Clinic Recover $300K
Medical Biller helped Elite Aesthetics Clinic recover $300K in revenue within six months by reducing claim denials by 88% and accelerating prior auth approvals by 83%. Through a 12-month claim audit, staff training, and workflow automation, we improved surgical coding accuracy and streamlined billing workflows. Real-time alerts, automated tracking, and enhanced documentation boosted compliance, efficiency, and patient satisfaction.
Detailed Insights:
Elite Aesthetics Clinic faced 40% denials for cosmetic procedures and 60-day delays in prior auth approvals for reconstructive surgeries. Staff struggled with modifier usage and self-pay billing workflows.
We audited 12 months of claims to identify coding gaps and trained staff on cosmetic vs. medical necessity documentation. Collaborated with surgeons to streamline prior auth workflows for high-cost procedures.
Created templates for operative notes, including pre-op photos and medical necessity justifications.
Automated prior auth tracking for reconstructive surgeries and trauma-related procedures.
Implemented real-time alerts for modifier usage and coding errors.
$300K Revenue Recovered in 6 months from denied claims and faster payments.
Zero Audit Penalties for 12+ months.
Patient Satisfaction Improved with transparent billing and faster approvals.
“Denials for breast augmentations dropped by 85%. Revenue is now predictable!”
Dr. Emily Carter
“Prior auths for rhinoplasty take 7 days instead of 6 weeks. Lifesaver!”
John Smith
“Reconstructive surgery billing is flawless. No more claim rejections!”
Sarah Lee
“24/7 coding support saved us during a weekend billing crisis.”
Nurse Jane Doe
“Self-pay billing is seamless now. Patient trust grew!”
Ryan Grant
“Modifier errors vanished. Revenue jumped 45%!”
Dr. Raj Patel
Streamline Your Plastic Surgery Billing
Reduce claim denials, improve revenue cycles, and simplify insurance complexities with our specialized plastic surgery billing services. From accurate coding to seamless reimbursement management, we optimize your financial workflow.
Why Plastic Surgery Claims Get Denied & How We Fix It
30%
Plastic surgery claims are rejected due to incorrect classification of cosmetic vs. medically necessary procedures.
$2.5B
Estimated annual revenue loss in plastic surgery due to undercoding and denied insurance claims.
45%
Increase in insurance reimbursements for practices using specialized plastic surgery billing solutions.
Plastic Surgery Billing Services for Maximum Reimbursements
We specialize in handling insurance pre-authorizations, managing out-of-network payments, and streamlining revenue cycle management. Our services cover everything from reconstructive procedures to aesthetic enhancements, ensuring your practice remains profitable and compliant.
Any Questions?
We track timed minutes (e.g., manual therapy) and round to the nearest 15-minute unit, ensuring CMS compliance.
Yes! We document functional progress, tech setup, and patient consent for virtual visits.
We align with CPT codes for unattended (97032) or attended (97033) e-stim, documenting medical necessity.
Yes. We follow payer-specific guidelines and document trigger point locations and treatment response.
We link exercises to functional goals (e.g., gait improvement) and include reps/sets in notes.
Absolutely. We align with jurisdictional rules and document injury-related functional limitations.
We rebut with treatment area details, frequency settings, and clinical rationale.
Yes. We code for milestones (e.g., R62.50) and align with early intervention programs.
We track visit counts and secure prior auths for extended care when medically necessary.